Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie最新文献

Objective: To explore the application and effect of rational-emotive therapy combined with mindfulness breathing in psychological intervention of triple-negative breast cancer (TNBC) patients.

Methods: The subjects of study were 96 patients with breast cancer who were diagnosed as TNBC in the Breast Department of Jiangsu Provincial Hospital from July 2022 to December 2022. Enrolled patients were divided into an observation group (n = 48) and an intervention group (n = 48). Patients in the intervention group received routine psychological care for breast cancer, and those in the observation group were provided with rational-emotive therapy combined with mindfulness breathing on the basis of the former group. Further comparison was conducted on the psychological status and quality of life between the two groups of patients.

Results: After intervention, the number of SCL-90 positive items decreased by 3.1±1.6 in the observation group and 1.9±1.0 only in the intervention group, with statistically significant difference between groups (t = 7.1, P > 0.01). The total average score of the observation group was improved by 2.0±0.8 points, while that was 0.9±0.6 point only the intervention group (t = 12.1, P > 0.01). The PANAS positive emotional factor scored 34.71±5.39 points and 30.7±6.19 points in the observation group and the intervention group, respectively (t = 3.21, P > 0.01). Besides, the total score of FACT-B in the observation group was significantly higher than that in the intervention group (31.3±6.7 points vs. 25.5±6.8 points; t = 4.649, P > 0.001).

Conclusion: Rational-emotive therapy combined with mindfulness breathing can effectively improve the psychological status of TNBC patients and improve their quality of life.

Psychic and psychosomatic longterm sequelae due to political traumatization by GDRdictatorship: An overview Objectives: The subject of this paper is the long-term health effects of political trauma caused by tyranny in the Soviet Occupation Zone (SBZ) and the German Democratic Republic (GDR) between 1945 and 1990.

Methods: The starting points are the clinical experiences of the first author as founder and representative of the psychosomatic chair at the University Hospital Magdeburg from 1996 to 2021, the reference regarding central findings of the state of art in research, and a look at parts of the preliminary results of the research network "Long-term health consequences of SED injustice" funded by the Federal Government.

Results: The long-term consequences that currently persist to a considerable extent are not limited to effects of imprisonment, but also include a number of other forms of experience of repression and consist not only in the shape of post-traumatic stress disorders, but usually in a much more complex network of psychological, psychosomatic and somatic illnesses.

Conclusions: The reappraisal of these damages in criminal law, health care and social law has just as serious shortcomings as the suppression of this part of German history in public discourse.

Mentalization ability of older patients with mental illness - external assessments by psychotherapists Background: The construct of mentalization ability is becoming increasingly important in modern psychotherapy, but little is known about the mentalizing abilities of older patients. Initial results on theory of mind abilities indicate deficits. However, this only sheds light on one aspect of the ability to mentalize. The present study was concerned with a more comprehensive examination of mentalization abilities in older patients and their clinical significance.

Methods: As part of the ÄPP study (Older Patients in Psychotherapy), a sample (N = 527) was examined using the Modes of Mentalization Scale, whereby psychotherapists were each asked to assess a younger or older patient, i. e. psychotherapists acted as raters here. In addition, the psychotherapists were asked to assess the rated patient with regard to various clinical parameters (e. g. suitability for psychotherapy).

Results: Older patients show deficits in mentalization skills compared to younger patients, although these are lower than expected. The reasons for this are discussed as a result of selection factors in psychotherapeutic care. In older patients, however, the assessment of a more limited mentalization ability has a more far-reaching influence on the therapist's clinical assessment.

Conclusions: The therapeutic focus should be on promoting the ability to mentalize. But psychotherapists should also be better trained to deal with corresponding deficits in older patients.